{"id":1026,"date":"2021-04-29T12:09:14","date_gmt":"2021-04-29T12:09:14","guid":{"rendered":"https:\/\/www.drlucasplasticsurgery.ch\/correction-cernes-par-acide-hyaluronique-ou-lipofilling\/"},"modified":"2026-02-18T12:36:01","modified_gmt":"2026-02-18T12:36:01","slug":"correction-of-dark-circles-by-filler-or-lipofilling","status":"publish","type":"page","link":"https:\/\/www.drlucasplasticsurgery.ch\/en\/correction-of-dark-circles-by-filler-or-lipofilling\/","title":{"rendered":"Correction of dark circles by filler or lipofilling"},"content":{"rendered":"

Ideal anatomy and proportions:<\/h3>\n

A young eye is defined by an eyebrow in an ideal position to the eyebrow lift, a deep and well-defined upper crease that does not come into contact with the eyelashes distance from crease to eyelashes: 8-10 mm, distance from upper crease to eyebrow: 12-16 mm), and a smooth lower eyelid without hollows or bags. The orientation of the eye<\/a> canthal tilt\u00a0canthopexy should be neutral or slightly rising towards the temples (lateral canthus 1-2 mm above medial canthus).<\/p>\n

\"\"<\/p>\n

Puffy lower eyelids is often due to excess of the fat loges (fatty degeneration that occurs over time): there are 3 fat lodges at the lower level. When the lower eyelid presents an hypertrophy of these fat lodges, the result will be optimal with a lower blepharoplasty.
\nWhen the lower eyelid is hollow, there is a good indication for filling with hyaluronic acid or fat (=lipofilling).<\/p>\n

Technique :<\/h3>\n

Hyaluronic acid: entry point (<1 mm at the cheek), then filling in 2 planes: one deep between the bony border and under the orbicularis muscle and the other, minimal, beetween the orbicularis muscle and the skin, all with an adapted hyaluronic acid, specific for the eye area. In general, 1 ml for both sides is sufficient for moderately marked temples.
\nLipofilling: fat removal (often inner knee or abdomen) under local anesthesia (no pain with an adapted anesthesia), decantation and specific preparation of the fat (purified fat, rich in stem cells) and then reinjection by the same technique as hyaluronic acid.<\/p>\n

Results :<\/h3>\n

Time to final results: <\/b>
\nHyaluronic acid:<\/b> immediate
\nLipofilling:<\/b> 1 week for the filling, but 3 months for the rejuvenation effect on the skin of the stem cells contained in the fat<\/p>\n

Longevity of results : <\/b>
\nHyaluronic acid:<\/b> 6-12 months
\nLipofilling:<\/b> 5-10 years<\/p>\n

Before injection:<\/h3>\n

Stop smoking 1 month before lipofilling
\nDo not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.
\nTake Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
\nContraindications hyaluronic acid: autoimmune diseases, pregnancy, breastfeeding<\/p>\n

Procedure :<\/h3>\n

Pain:<\/b> the pain during the intervention will be almost non-existent, with an adapted anesthesia
\nDuration of the procedure:<\/b> 20 minutes for hyaluronic acid, 40 minutes for lipofilling
\nAnesthesia:<\/b> local
\nLocation:<\/b> office for hyaluronic acid, operating room for lipofilling
\nAmbulatory (without hospitalization)<\/b><\/p>\n

After injection:<\/h3>\n

Post-operative pain: 1\/10 often responding to Dafalgan<\/p>\n

Social eviction:<\/h3>\n

Hyaluronic acid:<\/b> no (discrete swelling for 24-48h)
\nLipofilling:<\/b> swelling and hematoma for 4-7 days
\nSutures removal:<\/b> no sutures
\nReturn to work:<\/b> immediate for hyaluronic acid, 2-3 days for lipofilling
\nReturn to sports:<\/b> 24 hours for hyaluronic acid, 2-3 days for lipofilling<\/p>\n

Instructions:<\/h3>\n

Bed rest without major effort and ice mask for 24 hours, as often as possible, to reduce swelling.
\nDo not compress the fat injection area if lipofilling (risk of fat loss)
\nTake Arnica capsules 5 times a day for 5 days after surgery to prevent hematoma
\nStop smoking permanently to prevent fat and hyaluronic acid resorption<\/p>\n

Hyaluronic acid:<\/b>
\nControl Dr Lucas 2 weeks<\/p>\n

Lipofilling :<\/b>
\nControl Dr Lucas 2 weeks, 3 months<\/p>\n

Complications:<\/h3>\n